Lexology July 11, 2025
Jones Day

The Center for Medicare and Medicaid Innovation (“CMMI”) announced sweeping changes to the Kidney Care Choices Model (“KCC Model”), a key set of value-based programs.

On May 28, 2025, CMMI announced its new approach to the KCC Model, citing a need to improve the KCC Model’s financial sustainability after recording approximately $304 million in net losses. These changes are part of a Trump administration strategy to increase CMMI operational efficiency (highlighted in our previous Alert) and chart a new course for value-based care.

CMMI introduced the KCC Model in 2019 with the intent to reduce cost and improve quality of care for patients with late-stage chronic kidney disease (“CKD”) and end-stage renal disease (“ESRD”). Since its implementation, the Centers for...

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